Fully human monoclonal antibodies antagonizing the glucagon receptor improve glucose homeostasis in mice and monkeys

J Pharmacol Exp Ther. 2009 Apr;329(1):102-11. doi: 10.1124/jpet.108.147009. Epub 2009 Jan 7.

Abstract

Antagonizing the glucagon signaling pathway represents an attractive therapeutic approach for reducing excess hepatic glucose production in patients with type 2 diabetes. Despite extensive efforts, there is currently no human therapeutic that directly inhibits the glucagon/glucagon receptor pathway. We undertook a novel approach by generating high-affinity human monoclonal antibodies (mAbs) to the human glucagon receptor (GCGR) that display potent antagonistic activity in vitro and in vivo. A single injection of a lead antibody, mAb B, at 3 mg/kg, normalized blood glucose levels in ob/ob mice for 8 days. In addition, a single injection of mAb B dose-dependently lowered fasting blood glucose levels without inducing hypoglycemia and improved glucose tolerance in normal C57BL/6 mice. In normal cynomolgus monkeys, a single injection improved glucose tolerance while increasing glucagon and active glucagon-like peptide-1 levels. Thus, the anti-GCGR mAb could represent an effective new therapeutic for the treatment of type 2 diabetes.

MeSH terms

  • Animals
  • Antibodies, Blocking / pharmacology*
  • Antibodies, Monoclonal / pharmacology*
  • Blood Glucose / metabolism
  • Cell Line
  • Cell Membrane / drug effects
  • Cell Membrane / metabolism
  • Cells, Cultured
  • Endocytosis / drug effects
  • Flow Cytometry
  • Glucose / metabolism*
  • Glucose Tolerance Test
  • Hepatocytes / drug effects
  • Hepatocytes / metabolism
  • Homeostasis / drug effects*
  • Humans
  • Kinetics
  • Ligands
  • Macaca fascicularis
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Receptors, G-Protein-Coupled / drug effects
  • Receptors, G-Protein-Coupled / metabolism
  • Receptors, Glucagon / antagonists & inhibitors*
  • Signal Transduction / drug effects

Substances

  • Antibodies, Blocking
  • Antibodies, Monoclonal
  • Blood Glucose
  • Ligands
  • Receptors, G-Protein-Coupled
  • Receptors, Glucagon
  • Glucose